The Clinial Study Of Therapy For Anal Fissure By Mucosa Advancement Flap Anoplasty And Marsupialization

Background:The reason why Anal fissure is particular concern by people, even though the disease itself is unremarkable, but when the disease is acute, the impact of discomfort and workforce caused by Anal fissure is unusual.The goal of surgery to relieve the spasm of the sphincter and anal stenosis, eliminate the accompanied pathological changes,to accelerate the healing of cracks.The lateral internal sphincterotomy could be used as the first choice for the treatment of chronic anal fissure surgery.The lasting incontinence of bowel and exhaust has become a major concern the lateral sphincterotomy.Objective:Discussion on the basis of healing anal fissure, shorten healing time, reduce the extent of anal damage, reduce postoperative anal pain and improve tthe quality of life.Methods:The study were included in30patients with Ⅲ anal fissure,of which15cases underwent the closed lateral internal sphincterotomy (controll group), while15cases underwent mucosa moving down suture and marsupialization (the study group).Results:(1)The cure rate in clinical trials was100%in both groups, the difference was not statistically between the two groups. Therefore the treatment efficacy of mucosa moving down suture and marsupialization in anal fissure,equivalent to conventional methods.(2)The wound healing time of the treatment groups in clinical trials was15.40±5.80days, while the control group was20.87±6.68days. The results of t-test statistical analysis is t=2.395, P=0.024,the healing days of the treatment group was significantly shorter than the control group, so the mucosa moving down suture and marsupialization narrowing the wound surface, accelerating the rate of wound healing.(3)The postoperative anal pain of the third days and7th days in the clinical trials, by X2-test statistical analysis, the differences in these factors between the two groups was statistically significant, it showed the mucosa moving down suture and marsupialization reduced the postoperative anal pain.(4)The duration postoperative pain of the third days and7th days in the clinical trials, by X2-test statistical analysis, the differences in these factors between the two groups was statistically significant, it showed the mucosa moving down suture and marsupialization reduced the duration postoperative pain.(5)The hematochezia of the third days and7th days in the clinical trials, by X2-test statistical analysis, the differences in these factors between the two groups was statistically significant, it showed the mucosa moving down suture and marsupialization reduced the hematochezia.(6)The anal homemade function of the in the clinical trials, by X2-test statistical analysis, the differences in this factors between the two groups and each group function was not statistically significant, it showed the mucosa moving down suture and marsupialization no significant effect on the anal homemade function.Conclusion:The mucosa moving down suture and marsupialization techniques reducing the incidence of anal defects and postoperative anal pain, shorten healing time, compared with rlateral internal sphincterotomy has significant advantages and clinical value, adapting the fast track surgery concept,is ideal style for the treatment of anal fissure surgery.